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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Severe Cramping And Bleeding For Over A Year Since Puberty A Serious Concern?

My question is my 12 year old stepdaughter stared her cycle about a little less than a year ago she has severe cramping and it’s bleeding through Pad sometimes the size one and two to her clothes and I don’t know when is a cause for concern because I read that first two years can be up and down, so I just wanna know when I should be concerned
Wed, 20 Dec 2023
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Pediatrician 's  Response
Hi,

Initial cycles can be irregular, my question is, is she having continuous bleeding or having as irregular cycles if the bleeding doesn't stop at all then please get her checked, if it's occurring as cycles, cramps can occur but should settle with occasional over the counter analgesia or hot water comfort bottle if it doesn't go away and interfering with her daily activities like studying then she might need some investigations or a clinical assessment just to make sure everything is alright.

With regard to bleeding if it remains heavy then please get her checked as well, it tends to be high initially and settles but just making sure it's not causing blood loss to cause her tiredness and fatigue.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Shehla Usman, Pediatrician
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Are Severe Cramping And Bleeding For Over A Year Since Puberty A Serious Concern?

Hi, Initial cycles can be irregular, my question is, is she having continuous bleeding or having as irregular cycles if the bleeding doesn t stop at all then please get her checked, if it s occurring as cycles, cramps can occur but should settle with occasional over the counter analgesia or hot water comfort bottle if it doesn t go away and interfering with her daily activities like studying then she might need some investigations or a clinical assessment just to make sure everything is alright. With regard to bleeding if it remains heavy then please get her checked as well, it tends to be high initially and settles but just making sure it s not causing blood loss to cause her tiredness and fatigue. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Shehla Usman, Pediatrician